谢××,住院号3342。因下腹痛伴阴道流血小时于1987年3月26日晚7时急诊入院。平素月经规律,末次月经1987年3月3日,量少。查体:T36.5℃,P 80/次分,Bp100/70mmHg,无贫血貌,急性痛苦面容,腹软有压痛反跳痛,无肌紧张,肝脾未及,移动性浊音可疑阳性。妇检:阴道内有少量新鲜血块,宫颈举痛明显,宫口未开,后穹窿饱满触痛明显,子宫后位略大,双侧附件区朱及包块。WBC4.3×10~9/L,Hb:98g/L,后穹窿穿刺抽出不凝血5ml.初步诊断:腹腔内出血,疑异位妊娠行剖腹探查术.术中见双侧输卵管伞端有少许血液外溢,用手挤压双侧输卵管有凝血块及血液外溢入腹腔,左侧卵巢 Xie × ×, hospital number 3342. Due to lower abdominal pain with vaginal bleeding hours at 7 o’clock on the March 26, 1987 emergency admission. Normal menstrual regularity, the last menstrual March 3, 1987, less. Examination: T36.5 ℃, P80 / sub-points, Bp100 / 70mmHg, no anemia appearance, acute painful face, tenderness and tenderness with abdominal tenderness, no muscle tension, liver and spleen is not, mobility dullness suspicious positive. Maternal seizures: a small amount of fresh blood clots within the vagina, cervical pain was obvious, cervix is ​​not open, after the dome full of tenderness, posterior uterine slightly larger, bilateral attachment area Zhu and mass. WBC4.3 × 10 ~ 9 / L, Hb: 98g / L, culdocentesis not clotting out 5ml. Preliminary diagnosis: intraperitoneal hemorrhage, suspected heterotopic pregnancy exploratory laparotomy surgery see the bilateral tubal umbrella side of a little blood Spill, hand squeeze bilateral tubal clot and blood spilled into the abdominal cavity, the left ovary